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  1. digital.ahrq.gov/ahrq-funded-projects/automating-assessment-obesity-care-quality/annual-summary/2010
    January 01, 2010 - Automating Assessment of Obesity Care Quality - 2010 Project Name Automating Assessment of Obesity Care Quality Principal Investigator Hazlehurst, Brian L. Organization Kaiser Foundation Research Institute Funding Mechanism PAR: HS08-270: Utilizing Health IT to Impr…
  2. digital.ahrq.gov/ahrq-funded-projects/treating-comorbid-depression-during-care-transitions-relational-agents
    January 01, 2023 - Treating Comorbid Depression During Care Transitions with Relational Agents Project Final Report ( PDF , 676.96 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily repres…
  3. psnet.ahrq.gov/issue/rates-serious-surgical-errors-california-and-plans-prevent-recurrence
    March 09, 2022 - Study Rates of serious surgical errors in California and plans to prevent recurrence. Citation Text: Cohen AJ, Lui H, Zheng M, et al. Rates of serious surgical errors in California and plans to prevent recurrence. JAMA Netw Open. 2021;4(5):e217058. doi:10.1001/jamanetworkopen.2021.7058. …
  4. psnet.ahrq.gov/issue/using-text-mining-techniques-identify-health-care-providers-patient-safety-problems
    July 27, 2022 - Study Using text mining techniques to identify health care providers with patient safety problems: exploratory study. Citation Text: Hendrickx I, Voets T, van Dyk P, et al. Using text mining techniques to identify health care providers with patient safety problems: exploratory study. J M…
  5. psnet.ahrq.gov/issue/technology-based-closed-loop-tracking-improving-communication-and-follow-pathology-results
    May 25, 2022 - Study Technology-based closed-loop tracking for improving communication and follow-up of pathology results. Citation Text: Rajan SS, Baldwin J, Giardina TD, et al. Technology-based closed-loop tracking for improving communication and follow-up of pathology results. J Patient Saf. 2022;18…
  6. psnet.ahrq.gov/issue/missed-diagnosis-stroke-emergency-department-cross-sectional-analysis-large-population-based
    April 08, 2018 - Study Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample. Citation Text: Newman-Toker DE, Moy E, Valente E, et al. Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-b…
  7. psnet.ahrq.gov/issue/discrepancy-between-emergency-department-admission-diagnosis-and-hospital-discharge-diagnosis
    December 08, 2021 - Study Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality. Citation Text: Bastakoti M, Muhailan M, Nassar A, et al. Discrepancy between emergency department adm…
  8. psnet.ahrq.gov/issue/structured-override-reasons-drug-drug-interaction-alerts-electronic-health-records
    April 29, 2018 - Study Structured override reasons for drug–drug interaction alerts in electronic health records. Citation Text: Wright A, McEvoy D, Aaron S, et al. Structured override reasons for drug-drug interaction alerts in electronic health records. J Am Med Info Asso. 2019;26(10):934-942. doi:10.1…
  9. psnet.ahrq.gov/issue/patient-safety-inpatient-mental-health-settings-systematic-review
    November 13, 2019 - Review Emerging Classic Patient safety in inpatient mental health settings: a systematic review. Citation Text: Thibaut BI, Dewa LH, Ramtale SC, et al. Patient safety in inpatient mental health settings: a systematic review. BMJ Open. 2019;9(12):e030230. doi:10.…
  10. psnet.ahrq.gov/issue/analysis-clinical-decision-support-system-malfunctions-case-series-and-survey
    April 29, 2018 - Study Analysis of clinical decision support system malfunctions: a case series and survey. Citation Text: Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093…
  11. psnet.ahrq.gov/issue/neglected-barrier-medication-use-systematic-review-difficulties-associated-opening-medication
    February 16, 2022 - Review The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. Citation Text: Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of difficulties associated with opening medicat…
  12. www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroup-march-2022-meeting-notes.pdf
    January 01, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “AHRQ to convene a cross agency working …
  13. www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-111921.pdf
    March 11, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup: Improving Diagnostic Safety …
  14. psnet.ahrq.gov/issue/evaluating-incident-learning-systems-and-safety-culture-two-radiation-oncology-departments
    June 30, 2021 - Study Evaluating incident learning systems and safety culture in two radiation oncology departments. Citation Text: Adamson L, Beldham‐Collins R, Sykes J, et al. Evaluating incident learning systems and safety culture in two radiation oncology departments. J Med Radiat Sci. 2022;69(2):2…
  15. psnet.ahrq.gov/issue/assessment-patient-retention-inpatient-care-information-post-hospitalization
    June 01, 2022 - Study Assessment of patient retention of inpatient care information post-hospitalization. Citation Text: Townshend R, Grondin C, Gupta A, et al. Assessment of patient retention of inpatient care information post-hospitalization. Jt Comm J Qual Patient Saf. 2023;49(2):70-78. doi:10.1016/j…
  16. psnet.ahrq.gov/issue/impact-pharmacists-led-medicines-reconciliation-healthcare-outcomes-secondary-care-systematic
    August 07, 2024 - Review Emerging Classic The impact of pharmacists-led medicines reconciliation on healthcare outcomes in secondary care: a systematic review and meta-analysis of randomized controlled trials. Citation Text: Cheema E, Alhomoud FK, Kinsara ASA-D, et al. The impact…
  17. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/clinical-case-scenarios.html
    July 01, 2023 - Clinical Case Scenarios AHRQ Safety Program for Perinatal Care, Phase 2 The two clinical case scenarios below illustrate 10 teamwork tools and strategies for improving perinatal care. One scenario focuses on obstetric hemorrhage, and the other scenario focuses on severe hypertension in pregnancy. Both scena…
  18. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/schectman-jm-et-al-2005
    January 01, 2005 - Schectman JM et al. 2005 "Determinants of physician use of an ambulatory prescription expert system." Reference Schectman JM, Schorling JB, Nadkarni MM, et al. Determinants of physician use of an ambulatory prescription expert system. Int J Med Inf 2005;74(9):711-717. Abstract "Purpose: To det…
  19. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tufano-jt-et-al-2008
    January 01, 2008 - Tufano JT et al. 2008 "Providers' experience with an organizational redesign initiative to promote patient-centered access: a qualitative study." Reference Tufano JT, Ralston JD, Martin DP. Providers' experience with an organizational redesign initiative to promote patient-centered access: a qualitati…
  20. psnet.ahrq.gov/issue/assessing-patients-perceptions-safety-culture-hospital-setting-development-and-initial
    June 09, 2021 - Study Assessing patients' perceptions of safety culture in the hospital setting: development and initial evaluation of the patients' perceptions of safety culture scale. Citation Text: Monaca C, Bestmann B, Kattein M, et al. Assessing Patients' Perceptions of Safety Culture in the Hospit…